Application of "balance-shaped sternal elevation device" in the subxiphoid uniportal video-assisted thoracoscopic surgery for anterior mediastinal masses resection
- VernacularTitle:“天平拉钩抬高胸骨法”在经剑突下单孔胸腔镜辅助前纵隔肿物切除术中的应用
- Author:
Jinlan ZHAO
1
;
Weiyang CHEN
;
Chunmei HE
1
;
Yu XIONG
1
;
Lei WANG
2
;
Jie LI
2
;
Lin LIN
2
;
Yushang YANG
2
;
Lin MA
2
;
Longqi CHEN
2
;
Dong TIAN
2
Author Information
1. Operating Room, Department of Anesthesiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, 610041, P. R. China
2. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
- Publication Type:Journal Article
- Keywords:
Balance-shaped sternal elevation device;
anterior mediastinal masses;
subxiphoid incision;
uniportal video-assisted thoracoscopic surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(03):308-312
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce an innovative technique, the "balance-shaped sternal elevation device" and its application in the subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for anterior mediastinal masses resection. Methods Patients who underwent single-port thoracoscopic assisted anterior mediastinal tumor resection through the xiphoid process at the Department of Thoracic Surgery, West China Hospital, Sichuan University from May to June 2024 were included, and their clinical data were analyzed. Results A total of 7 patients were included, with 3 males and 4 females, aged 28-72 years. The diameter of the tumor was 1.9-17.0 cm. The operation time was 62-308 min, intraoperative blood loss was 5-100 mL, postoperative chest drainage tube retention time was 0-9 days, pain score on the 7th day after surgery was 0-2 points, and postoperative hospital stay was 3-12 days. All patients underwent successful and complete resection of the masses and thymus, with favorable postoperative recovery. Conclusion The "balance-shaped sternal elevation device" effectively expands the retrosternal space, providing surgeons with satisfactory surgical views and operating space. This technique significantly enhances the efficacy and safety of minimally invasive surgery for anterior mediastinal masses, reduces trauma and postoperative pain, and accelerates patient recovery, demonstrating important clinical significance and application value.
